RANDOLPH EDWARD ALLEN JR. (NPI# 1780032920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780032920 |
| Entity Type | Individual |
| Full Name | RANDOLPH EDWARD ALLEN JR. |
| Practice Address |
2387 Ramsdale Dr Se Palm Bay FL 32909-6492 |
| Mailing Address |
2387 Ramsdale Dr Se Palm Bay FL 32909 |
| Practice Telephone | 3219510754 |
| Mailing Telephone | 3219510754 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
2387 RAMSDALE DR SE |
| City | PALM BAY |
| State | FL |
| Zip Code | 32909-6492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447349 | Sarah Nicosia | Registered Nurse | 2752 Palisades Dr, Palm Bay, FL 32909 | 2020-08-12 |
| 1447881297 | Shangri-la of Palm Bay Alf, LLC | Assisted Living Facility | 3604 Jupiter Blvd. Se, Palm Bay, FL 32909 | 2020-01-30 |
| 1972094357 | Mindful Counseling and Wellness LLC | Social Worker | 221 Devlin Ct Se, Palm Bay, FL 32909 | 2018-05-22 |
| 1306348859 | Mallory Kathleen Herndon | Behavior Technician | 458 Barcelona Rd, Palm Bay, FL 32909 | 2018-03-01 |
| 1548786627 | Chotsani Merrill | Home Health Aide | 781 Davenport St Se, Palm Bay, FL 32909 | 2017-08-21 |
| 1639629538 | Maggie Cameron | Clinic/Center | 2511 Quentin Ave Ne, Palm Bay, FL 32909 | 2016-10-04 |
| 1194195016 | Dawn Goodwin | Pharmacist | 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 | 2015-10-05 |
| 1124407796 | Jorge Ortiz | Physical Therapist | 470 Malabar Rd Se, Ste 102, Palm Bay, FL 32909 | 2015-05-28 |
| 1932506227 | Annalisa Tietjen I | Dental Hygienist | 714 Ave C, Fort Pierce, FL 32909 | 2014-12-02 |
| 1194147611 | Carl Glenmore Morrison Sr. | General Practice | 2125 Windbrook Drive, Palm Bay, FL 32909 | 2014-01-17 |
| Find all providers in zip 32909 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515529 | Marchalee Amoya Marshall | Case Manager/Care Coordinator | 501 Nackman Rd Nw, Palm Bay, FL 32907-2806 | 2020-07-20 |
| 1770101149 | Amma A Dewberry | Case Manager/Care Coordinator | 443 Albenga Rd Nw, Palm Bay, FL 32907-1827 | 2020-07-11 |
| 1942831961 | Nahir L Nunez | Case Manager/Care Coordinator | 770 Seymour Rd Ne, Palm Bay, FL 32905-5025 | 2020-01-29 |
| 1508418898 | Monique James | Case Manager/Care Coordinator | 1556 Shelter St Nw, Palm Bay, FL 32907-8653 | 2019-07-16 |
| 1821576224 | Jouzelie Philippi-exantus | Case Manager/Care Coordinator | 296 Paquita Cir Sw, Palm Bay, FL 32908-3402 | 2018-07-30 |
| 1740798297 | Brian Carroll Myerss | Case Manager/Care Coordinator | 1797 Pace Dr Nw, Palm Bay, FL 32907-7095 | 2018-01-18 |
| 1861907693 | Herson Ivan Guerrero Pena | Case Manager/Care Coordinator | 1071 Port Malabar Blvd Ne Ste 105-106, Palm Bay, FL 32905-5161 | 2017-12-01 |
| 1679025761 | Clara Seamon | Case Manager/Care Coordinator | 131 Hammock Rd Se, Palm Bay, FL 32909-8844 | 2016-10-25 |
| 1487005237 | Cassandra Wright | Case Manager/Care Coordinator | 2147 Dr Harvey Riley St Ne Apt C, Palm Bay, FL 32905-2602 | 2016-06-23 |
| 1851764591 | Ramon Feliciano | Case Manager/Care Coordinator | 120 Andalusia Ave Nw, Palm Bay, FL 32907-2833 | 2015-11-03 |
| Find all providers in PALM BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.